HomeMy WebLinkAboutBLD28391 Garage - BLD Permit / Conditions - 6/15/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior: 9, jn.
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks:
Foot ing:ee,A
Setback:
Foundation SL
Walls
Framing:
Fireplace:
Wood Stove:
TYPE _ .GARAGE-
Permit No. 28391 No. Floors 1 Sq Ftg 720 .
Dwner YORKE, DON Tel 4 -7539 Date 6-17-91
Address P.O. Box 532, Shelton Zip
Contractor JW. Webb Constr
Address W430 Insels Rd, . Shelton Zip
Legal Description —�_91-3, Tr A of SP 7�9
Direction to project site N hwy 3 (Approx 6 mi) turn L tc
ooff Deer Creek Hill (ftake R at Y on Grave Rd to Effi
Pluming ec anisser Rd, t�jrn cal ewer Wo Stove
Fireplace DeckMa—rage —rport
Basement —Loft —"'-Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO
OWNER
bNAME MAIL ADDRESS CITY&STATE ZIP PHONE
�, C. S 3 .S' -/ s 6- S'3
�iLiDIRECTIONS
TO JOB SITE a �f' d i �� �/ p �,/ 1 n ) d L r� T Gil.`•-)
PARCEL LEGAL
NUMBER ,3,2/3 E '���J�020 DESCR. � /Vc k' 3 Syt'v""�f 3 3
NAME MAIL ADDRESS 'f CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR ,W .W 8 Coos-�' W y3o I osea d, Sr41FLT s8
USE OF -f-a(o-53Z9
BUILDING �Eq�o,c/Ae,. �t In RA P�
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE ./
WORK Cp S uc,-r ,n 3`c7 _
O —'� — W c.L, UD —t�
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.L?' COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS G� GARAGE
GARAGE SgFt ATTACHED❑DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH,NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER LATE S,� L�/ XBY L DATE
FOR OFFICE US ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING - FIRE MARSHAL BUILDING PERMIT 5�
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP rn - PRE-INSPECTION
-> L SHORELINE
WOODSTOVE
PLUMBING
C4L
MECHANICAL
STATE BUILDING FEE
APPLICATIO ACCEPTED BY PLANS CHECK BY APPROV F I UANCE PERMIT VALIDATION C.�
CK MO TOTAL
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAM AIL ADDRESS CITY&STATE ZIP PHONE
OWNER o ecc 1,9 0, 53a S :JQ y?� 75-22
DIRECTIONS
TO JOB SITE 1 /- L f 3 CA o t' ��/• �14 22 - Ep/! /« �Kt
✓� o� C'A��z �'� �F i� �aS ��c ,Pll -T
PARCEL LEGAL 1
NUMBER kd1-36-/ /- oc2o DESCR. T,(' �Z of SLC C-- ',2 3 V.-Y �3
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
O Building & septic system setback distances from all property lines & easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams, wetlands, drainage.
In Circle O Attach copy of septic system "as built' or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
01
} / v
s
�p
P �
r
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
J,
SIGN TURE 00 OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
A 0D0nk IC:r)
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE